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Case Study · Maternal Health

Every Mother in
Sierra Leone Deserves
Better Care

MamaCare Sierra Leone is a digital maternal health platform that helps pregnant mothers track their pregnancies, book antenatal clinic appointments, and access vital health information — even in low-connectivity areas.

Django PostgreSQL Python SMS Integration Offline Support Krio Language
3,500+
Mothers registered
12
Districts covered
85%
Appointment attendance rate
Antenatal Dashboard Live
3,512
Registered mothers
▲ 48 this week
218
Appointments today
▲ 85% attended
94
Due this month
12 districts
AK
Aminata Kamara
28 weeks · Bo District
Confirmed
FB
Fatmata Bangura
34 weeks · Western Area
Due today
MS
Mariama Sesay
16 weeks · Kenema
Confirmed
IJ
Isatu Jalloh
38 weeks · Port Loko
Alert: overdue
Platform Features

Designed for Sierra Leone's Mothers

Simple enough for first-time smartphone users. Powerful enough for clinicians and health workers to coordinate care across districts.

Pregnancy Tracking

Week-by-week pregnancy updates, baby development milestones, and personalised health tips sent directly to each mother via SMS and app.

Appointment Booking

Mothers book antenatal clinic visits online. Automated SMS reminders reduce missed appointments and ensure timely antenatal care.

SMS in Krio & English

Health reminders and alerts are sent in both English and Krio — Sierra Leone's lingua franca — making the platform accessible to all mothers regardless of literacy level.

High-Risk Flagging

The system automatically identifies high-risk pregnancies based on reported symptoms and vital signs — alerting midwives and health workers to prioritise these cases.

Community Health Workers

CHWs get their own mobile interface to register and monitor mothers in their communities — syncing when connectivity is available.

District Health Analytics

District health officers see real-time data on maternal registrations, appointment attendance, high-risk cases, and delivery outcomes by district.

The Challenge

Sierra Leone's maternal mortality is among the highest globally

Many preventable maternal deaths in Sierra Leone stem from missed antenatal visits, late detection of complications, and poor communication between health workers and mothers.

  • Mothers in rural areas missing critical antenatal appointments
  • No system to identify and prioritise high-risk pregnancies
  • Health workers unable to track mothers between visits
  • Language barriers preventing mothers from understanding health advice
  • Paper-based records making coordination between clinics impossible
Our Solution

Technology in service of every mother

  • SMS reminders in Krio and English ensure no mother misses an appointment
  • Automated high-risk pregnancy detection alerts health workers immediately
  • Community health workers can register and track mothers offline
  • Digital records shared between clinics — mothers are never lost in the system
  • District dashboards give health officers real-time visibility across their area
Results & Impact

Saving Lives Through Technology

3,500+
Mothers registered on the platform
85%
Antenatal appointment attendance rate
12
Districts reached across Sierra Leone
40%
Reduction in missed high-risk appointments
Technology

Built for Low-Connectivity Environments

Designed to work in Sierra Leone's variable connectivity landscape — from Freetown's 4G to remote chiefdoms with limited data access.

Django 5
PostgreSQL
Python 3.14
Tailwind CSS
SMS Gateway
Gmail SMTP
Render Cloud
Supabase DB
Work With Us

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TechLedger builds digital health platforms, patient management systems, and community health tools for organisations working in Sierra Leone and beyond.